Caring in Nursing Theory

Wolf, Zane Robinson; France, Nancey E. M.

doi:10.20467/humancaring-d-17-00021.1

Cited by 13 publications

(10 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Three texts describing several theories were identified: Nursing Theories The Base for Professional Nursing Practice 6 th edition (George, 2011), Nursing Theorists and Their Work 7 th edition (Alligood & Marriner‐Tomey, 2010) and Theoretical Nursing Development and Process 4 th edition (Meleis, 2007). In addition, we explored four articles relating to caring in nursing and theory: a discursive piece (Wolf & France, 2017), a meta‐analysis (Swanson, 1999), a meta‐synthesis (Finfgeld‐Connett, 2008) and a comparative analysis (Morse, Bottorff, Neander, & Solberg, 1991). Two of these articles we were aware of prior to commencing the search, and two were retrieved during the CINAHL search.…”

Section: Methodsmentioning

confidence: 99%

Where and how does fundamental care fit within seminal nursing theories: A narrative review and synthesis of key nursing concepts

Mudd

Feo

Conroy

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To elucidate the synergies between fundamental care and seminal nursing theories. Background Nursing theories are often criticised for their limited clinical relevance, with the existence of a theory‐to‐practice gap widely acknowledged. Pervasive examples of poor‐quality care, particularly for people's most fundamental needs, raise questions as to whether nursing theories sufficiently prioritise fundamental care. The Fundamentals of Care Framework (hereinafter “the Framework”) represents a valid, comprehensive and evidence‐based description of fundamental care. The Framework captures the complexity and multidimensionality of fundamental care delivery, predicated on the nurse–patient relationship; integration of physical, psychosocial and relational needs; and a supportive context. Despite strong face validity, the Framework's alignment with seminal nursing theories remains unexplored. Design Narrative review. Method Twenty‐nine seminal nursing theories were included. Categories for analysis were developed inductively and deductively, focusing on the themes of relationship, integration of care, context and the theories’ ease of use. Results are reported in accordance with PRISMA‐ScR guidelines. Results Though relationship, integration of care and context and were features shared across a number of nursing theories, no single theory depicts these collectively to the same extent as the Framework. In particular, integration of physical, psychosocial and relational aspects of care was found to be poorly described in the theories. Conclusion Failure to account for integration of care means that nursing theories continue to conceptualise fundamental care as a series of discrete tasks. To ensure relevance at the point of care, future nursing theories must accurately reflect the complexities of fundamental care delivery, specifically the need to integrate multiple care needs simultaneously, alongside being straightforward to apply in practice. Relevance to clinical practice Bridging the theory‐to‐practice gap requires a nursing discourse that is relevant at the point of care. We provide suggestions for how future nursing theories can bridge this gap.

show abstract

Section: Methodsmentioning

confidence: 99%

Where and how does fundamental care fit within seminal nursing theories: A narrative review and synthesis of key nursing concepts

Mudd

Feo

Conroy

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Theorists and philosophers in nursing in the United States who have articulated this view of the centrality of care in the discipline have included Jean Watson ( 1979 , 1985 , 2012 ), Madeline Leininger ( 1988a , b ), Dorothea Orem ( 1980 ), Margaret Newman et al ( 1991 ), Marilyn Ray ( 1989b ), Jane Sumner ( 2001 ), and many others. A comprehensive taxonomy of care theory in nursing is found in the work of Zane Wolf and Nancy France ( 2017 ).…”

Section: Examining the Ethics Of Care And Social Justice In Nursingmentioning

confidence: 99%

Piecing Together a Puzzle: Feminist Materialist Philosophy and Nursing Ethics

Thompson

2020

Nursing Ethics: Feminist Perspectives

View full text Add to dashboard Cite

This chapter explores connections between discussions of nursing ethics in North America and the feminist materialist philosophy (FMP) of Nancy Fraser. The analysis first reviews key points of Fraser’s philosophical critique of capitalism. These points include explanations of the ethics of recognition, redistribution, and representation in the context of capitalism. Also considered are contradictions that Fraser identifies in “post-socialist feminist” perspectives, as these are relevant for nursing ethics. Finally discussed are Fraser’s latest FMP explanations of financialized transnational corporate capitalism, including its social, political, and economic effects. The chapter next uses Fraser’s critical theoretical explanation of capitalism to piece together some implications for nursing ethics. This critical exploration first focuses on discourses of caring in U.S. nursing, also exploring parallel developments in feminist care ethics. This analysis suggests that the ethics of care in nursing and beyond can be deepened and strengthened by greater consideration of Fraser’s FMP, explicitly in considering capitalism. Next, the discussion examines the discourse of social justice in nursing, acknowledging connections between care and social justice ethics in nursing literature. Definitions of social justice are discussed as are recent analyses of social justice ethics in Canadian and U.S. Codes of Ethics. Selected examples of social justice scholarship in Canadian and the U.S. nursing literature are next reviewed, pointing to similar theoretical and practice-oriented concerns. This review of social justice scholarship argues again that greater consideration of Fraser’s FMP can strengthen accounts of social justice in nursing ethics by explicating contextual effects of capitalism. The chapter concludes in arguing that Fraser’s work presents a puzzle for nursing ethics, a question about what form of professionalism nurses believe they are enacting under capitalism. In providing that critical approach to nursing ethics, Fraser’s FMP ultimately invites nurses to define pragmatically what forms their professional moral agency will take under capitalism.

show abstract

“…Patients’ uncertain and unpredictable conditions add to the complications and complexity of the system. Healthcare is also humanistic, requiring professional collaboration and human being connections to meet multi-layered stakeholders’ divergent needs [ [3] , [4] , [5] ]. The healthcare complexity requires convergent care – all healthcare stakeholders – organization, providers, patients, and families – to work together to achieve optimal health outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Carper suggested four patterns of knowing to guide practice and education: empirics, ethics, esthetics, and personal [ 6 ]. The theory is also based on the belief that caring is a core value of nursing and healthcare [ 4 , 7 , 8 ], caring culture is the essence of interprofessional collaboration [ 9 ], and caring for patients requires professional competence, altruism, responsibility, and empathy [ 10 ]. The assumption is that a caring culture can promote organizations’ healthy work environments, facilitate interprofessional collaboration, integrate patient care delivery, and improve healthcare outcomes [ [11] , [12] , [13] ].…”

Section: Introductionmentioning

confidence: 99%

The development of an evidence-informed Convergent Care Theory: Working together to achieve optimal health outcomes

Wei

2022

International Journal of Nursing Sciences

View full text Add to dashboard Cite

Background Healthcare is a complex and divergent system with uncertainty, unpredictability, and multi-layered stakeholders. The relationships among the stakeholders are multifaceted and dynamic, requiring continual interpersonal connections, networks, and co-evolution. It is pivotal to have an evidence-informed theory to explain the phenomenon, uniting the multifaceted stakeholders’ efforts. Purpose To describe the development of an evidence-informed theory, the Convergent Care Theory, assembling healthcare stakeholders to work together and achieve optimal health outcomes. Methods The Convergent Care Theory was developed using a theory synthesis approach based on empirical research and literature reviews published by the theory-proposing author. The empirical evidence was categorized into: patients and families, healthcare providers, healthcare organizations, and patients’ and healthcare providers’ self-care. Results The Convergent Care Theory includes four concepts: all-inclusive organizational care , healthcare professional collaborative care, person-centered precision care, and patients ’ and healthcare providers’ self-care . Achieving convergent care is a process requiring all stakeholders to work together. Six major facilitators emerged from the research evidence: competence, compassion, accountability, trusting, sharing, and engaging. Conclusion This article introduced the development process of the evidence-informed Convergent Care Theory. Healthcare systems are complex, with multiple stakeholders’ needs to meet. The Convergent Care Theory strives to unite healthcare stakeholders, bond resources, and join forces to achieve optimal healthcare outcomes. The underpinning of the theory is a caring culture, which is an underlying code for organizational and team behaviors and the foundation of optimal health outcomes.

show abstract

Caring in Nursing Theory

Cited by 13 publications

References 82 publications

Where and how does fundamental care fit within seminal nursing theories: A narrative review and synthesis of key nursing concepts

Where and how does fundamental care fit within seminal nursing theories: A narrative review and synthesis of key nursing concepts

Piecing Together a Puzzle: Feminist Materialist Philosophy and Nursing Ethics

The development of an evidence-informed Convergent Care Theory: Working together to achieve optimal health outcomes

Contact Info

Product

Resources

About